Mozafar M, Shateri K, Tabatabaey A, Lotfollahzadeh S, Atqiaee K. What Is an Ileostomy?.Ĭrohn's & Colitis Foundation. Evaluation of chronic diarrhea and irritable bowel syndrome with diarrhea in adults in the era of precision medicine. Patient and Family Guide to Ileal J-Pouch Anal Anastamosis (IPAA) Surgery. University of Pennsylvania Health System Division of Colon and Rectal Surgery. Low sodium is common and typically diagnosed with lab testing, so be sure your surgeon is aware if you are found to have low sodium. Low sodium: Sodium can be lost via diarrhea and should be replaced with electrolyte-containing fluids such as Gatorade or Pedialyte.Avoid caffeine, fruit juices, and drinks that add to gas in the stomach (carbonated beverages and those used with straws). Dark urine indicates an increased need for fluid, while clear and nearly colorless urine indicates adequate hydration. Dehydration can be best judged at home by the color of urine. Dehydration: Frequent bowel movements can lead to dehydration.Dense and starchy foods, such as potatoes and pasta, can help firm the stool. Diarrhea is typically improved with medication such as Lomotil or Imodium along with dietary changes.This is a typical outcome of the procedure and may not resolve after the recovery is complete, but you can try to avoid foods known to cause gas. Foods that normally cause gas may cause worse flatulence after J-pouch surgery.But don't skip meals, which can lead to loose and irritating stools. Small meals: Some people with J-pouches find they can only tolerate multiple small meals rather than three large meals per day.Pregnancy: The pressure of the fetus in the pelvis, where the J-pouch rests, can cause difficulty with bowel movements and continence. Both the colon-rectal surgeon and the obstetrician will play a role in helping the pregnant mother to have the best possible control during the first trimester when this problem is the most significant, and determining the best type of delivery. ![]()
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